Ventricular septal dissection complicating inferior wall myocardial infarction

Authors

Lindsey Kalvin, Advocate Aurora HealthFollow
Rayan Yousefzai, Advocate Aurora HealthFollow
Bijoy K. Khandheria, Advocate Aurora HealthFollow
Timothy E. Paterick, Advocate Aurora HealthFollow
Khawaja A. Ammar, Advocate Aurora HealthFollow

Recommended Citation

Kalvin L, Yousefzai R, Khandheria BK, Paterick TE, Ammar KA. Ventricular Septal Dissection Complicating Inferior Wall Myocardial Infarction. Case Rep Cardiol. 2017;2017:9680891.

Affiliations

Aurora Cardiovascular Services, Aurora Sinai/Aurora St. Luke's Medical Centers

Abstract

Postmyocardial infarction ventricular septal defect is an increasingly rare mechanical complication of acute myocardial infarction. We present a case of acute myocardial infarction from right coronary artery occlusion that developed hypotension and systolic murmur 12 hours after successful percutaneous coronary intervention. Although preoperative imaging suggested a large ventricular septal defect and a pseudoaneurysm, intraoperative findings concluded a serpiginous dissection of the ventricular septum. The imaging technicalities are discussed.

Document Type

Article

PubMed ID

28396806